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Active NPI 1295116432 Individual Practitioner Male Practitioner

Dr. Dmitriy Kim , DO

Surgery • Far Rockaway, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dmitriy Kim, DO is a certified Surgery practicing in Far Rockaway, NY. With approximately 11 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2015, Dr. Kim delivers high-quality medical care to the local community at 327 BEACH 19TH ST.

Dr. Kim is affiliated with St John'S Medical Services Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

327 Beach 19th St

Far Rockaway, NY 116914423

Telephone 7188697000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Far Rockaway, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -3.5 yrs vs City Avg
City Avg: 14.5 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Far Rockaway, NY (2269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (11 Years) 11 Yrs
Far Rockaway Specialty Average (14.5 Years) 14.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
53 31 $251.00 $86.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
48 46 $707.00 $143.29
99213 Established patient office or other outpatient visit, typically 15 minutes
22 20 $250.00 $81.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $385.00 $103.72

Medical Specialties & State Licenses

CMS Verified: 2021-08-23
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 291182

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

St John's Medical Services Pc

10538 Rockaway Beach Blvd, Rockaway Park, NY 116942645

Phone: 7183183434

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Danniya Samuel , PA-C

Physician Assistant

NPI 1003356031

Physician Assistant (Certified)

Sarah Singh

Student in an Organized Health Care Education/Training Program

NPI 1003669268
Anthony Pagan , PA-C

Physician Assistant

NPI 1003671181

Physician Assistant (Certified)

Dr. Daniel Wong , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023692753

Doctor of Podiatric Medicine

Alyssa Curcio

Student in an Organized Health Care Education/Training Program

NPI 1023703782
Arianisa Bajrami

Student in an Organized Health Care Education/Training Program

NPI 1023803467

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location August 23, 2021

Registered at 327 BEACH 19TH ST, FAR ROCKAWAY, NY 116914423 (Tel: 7188697000)

📍
Updated Business Mailing Address August 23, 2021

Registered at 407 BEACH 20TH ST, FAR ROCKAWAY, NY 116913647 (Tel: 6463197622)

📍
Updated Business Mailing Address April 06, 2021

Registered at 393 E WALNUT ST, 3RD FL, PHR GROUP PROVIDER ENROLLMENT UNIT, PASADENA, CA 911880001 (Tel: 8776080044)

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705000)

📍
Updated Business Mailing Address October 03, 2017

Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705000)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as DMITRIY KIM, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Surgery (License #291182 in NY)

NPI Profile Active June 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2015

Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705000)

📍
Updated Business Mailing Address June 13, 2015

Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705000)

👤
Provider Name / Credentials Updated June 13, 2015

Recorded as DMITRIY KIM, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295116432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2015
Last Update: August 23, 2021
Sole Proprietor: No

Mailing Address

407 Beach 20th St

Far Rockaway, NY 116913647

Phone: 6463197622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.